MEDICARE: SHANNON RENNER PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	027607	NY

General Provider Information

NPI Number	:	1548743081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON RENNER PSYD

Provider Business Mailing Address
First Line	:	20 CREST CT
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-5060
Country	:	US
Telephone Number	:	845-332-0968
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 CREST CT
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-5060
Country	:	US
Telephone Number	:	845-332-0968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	06/02/2026

Similar Medicare Providers

1851599542 — MRS. DAWN MARIE LINDBERG LCSW
Practice Location Address:

142 LAKE WALTON RD
HOPEWELL JUNCTION, NY
12533-5054

Practice Phone: 845-242-0247
Practice Fax:

1700710365 — CORA HARRELL CERTIFICATE
Practice Location Address:

827 ROUTE 82 # 10-136
HOPEWELL JUNCTION, NY
12533-7351

Practice Phone: 845-608-1440
Practice Fax:

1831235704 — VINCENT JAMES BOSCO PA
Practice Location Address:

45 FOSTER RD
HOPEWELL JUNCTION, NY
12533-6123

Practice Phone: 845-226-4590
Practice Fax: 855-200-2625

1902525587 — RENAE SMITH
Practice Location Address:

1989 ROUTE 52
HOPEWELL JUNCTION, NY
12533-3533

Practice Phone: 845-896-5070
Practice Fax:

1710984703 — DR. MUHAMMAD OMER BASHIR M.D.
Practice Location Address:

146 AUTUMN CHASE DR
HOPEWELL JUNCTION, NY
12533-6574

Practice Phone: 631-627-9987
Practice Fax:

1811994775 — TRACEY RANDALL AU.D.,F.A.A.A
Practice Location Address:

2623 ROUTE 52
HOPEWELL JUNCTION, NY
12533-3215

Practice Phone: 845-226-2638
Practice Fax: 845-226-2674

Directions to “ SHANNON RENNER PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.